Individual provider Active NPI

Clayton Piez, P.T.

  • Orthopedic Physical Therapist
  • Boynton Beach, FL
National Provider Identifier
1043763501
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT31658 Issued in FL
Practice address
3111 W Boynton Beach Blvd
Boynton Beach, FL 33436-4613
Phone
(561) 742-3283
NPI assigned
Aug 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT31658 FL Primary

Addresses

Primary practice location

3111 W Boynton Beach Blvd
Boynton Beach, FL 33436-4613

Mailing address

2640 S University Dr
Apt 107
Davie, FL 33328-1473
Phone (813) 598-4322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161227001685 FL Practitioner - Physical Therapist in Private Practice 0749561108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

26830 Ridgebrook Dr
Suite 102
Wesley Chapel, FL 33544-6464
Phone (813) 345-4915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT31658FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Performance and Physical Therapies Wesley Chapel, LLC Orthopedic CurrentSince Aug 12, 2020 Accepting new patients
Palm Beach Aquatics & Physical Therapy Inc CurrentSince Aug 1, 2016 Accepting new patients
Mote Wellness & Rehab Inc PastSince Jun 1, 2009 Accepting new patients

Locations

3111 W Boynton Beach Blvd
Ste 200
Boynton Beach, FL 33436
Phone (561) 742-3283

3111 W Boynton Beach Blvd
Ste 20000
Boynton Beach, FL 33436
Phone (561) 865-2800

21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234

26830 Ridgebrook Dr
Ste 102
Wesley Chapel, FL 33544
Phone (813) 345-4915

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1043763501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 S UNIVERSITY DR",
            "address_2": "APT 107",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281473",
            "telephone_number": "813-598-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 W BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364613",
            "telephone_number": "561-742-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEZ",
        "first_name": "CLAYTON",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT31658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.